Organization
DES MOINES SPECIALIZED CARE
Active
Parent organization
SPECIALIZED ASSISTED LIVING, LLC
Other names
Specialized Assisted Living, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALIZED ASSISTED LIVING, LLC
Authorized official
LUCIAN SAUCAN (OWNER)
(602) 793-6265
Entity
Organization
Contact information
Practice address
15029 N THOMPSON PEAK PKWY, SUITE B-111, #418, SCOTTSDALE, AZ 85260-2217
(602) 793-6265
(480) 621-5842
Mailing address
15029 N. THOMPSON PEAK PKWAY, SUITE B-111, #418, SCOTTSDALE, AZ 85260
(602) 793-6265
(480) 621-5842
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
136599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136599
—
AZ
Enumeration date
04/05/2012
Last updated
04/05/2012
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